Is it possible to give birth to a healthy child with fibroids? When you can give birth with fibroids, when you can’t

Uterine fibroids are very common benign neoplasm which develops in the muscular wall of the vagina. She may be different sizes from very small to quite large. Sometimes, it grows to the size of a five-month pregnancy, and naturally requires removal. In most cases, there is more than one fibroid nodule in the uterus. This disease does not always cause symptoms; the size of the fibroid and its location can lead to problems such as pain and heavy bleeding during childbirth, after which it is very difficult to regain one’s strength.

Fibroids can increase significantly in size during pregnancy. This is presumably due to higher level estrogen. After childbirth, fibroids usually shrink. Typically, improvement in the disease occurs after menopause, when estrogen levels female hormone, which circulates in the blood, decreases sharply. However, it may be different; during menopause, some women take additional estrogen (replacement hormone therapy), so they may experience no relief from symptoms afterward. For successful course childbirth, you need to make sure that the vagina does not become deformed. Such an illness and childbirth are completely compatible concepts, however, such childbirth can bring complications, but of course all this is very individual. So each girl has her own birth and her own characteristics of its course.

Does this disease affect pregnancy and the fetus?

Of course, it belongs to big problem. Since pregnancy in women with such a disease can occur both without complications and with the occurrence of complications. And here the question of prolongation arises, that is, during childbirth, the doctor tries to preserve the fetus.

It is believed that pregnancy has beneficial influence on the course of fibroids, so doctors often advise getting pregnant and giving birth to a child with this disease.

When a girl is in interesting position very often growth of neoplasms is observed, they enlarge, soften, and become mobile. TO serious complications fibroids during pregnancy include:

1. Necrosis.
2. Fetoplacental insufficiency.
3. Thrombosis of the pelvic veins.
4. Isthmic-cervical insufficiency of the uterus.
5. Premature birth of a child, threat of miscarriage.

It must be said that in the first trimester, the threat of miscarriage in girls suffering from uterine disease is somewhere around 47-50%.

The question of prolongation of women, of course, depends primarily on:

• the dimensions of the unit itself;
• localization of this growth;
• depending on the age of the patient, that is, everything is decided purely individually.

The expectant mother should regularly visit her gynecologist with all possible methods research and carry out all the prescribed therapy that the gynecologist prescribed to her, as this affects the outcome of the event. If any complications arise, immediate hospitalization in a hospital is recommended, and there the further tactics of tumor removal and how to save the fetus will be decided.

What are the features of pregnancy with fibroids?

• The most common neoplasm of the genital organs in girls of reproductive age.
• It can either grow or regress.
• Growth rates vary.
• Possible combination with other diseases: endometriosis, endometrial hyperplasia, endometrial hyperplasia, breast diseases.

Risk factors

The point is that there is no currently a unified theory of the development of this disease. But, based on the analysis of large statistics, we can highlight conditional groups risk. First of all, this various diseases such as:

• endometriosis;
• hyperplastic processes of the endometrium;
• various ovarian tumors;
• various inflammatory diseases not related to the reproductive system;
• diseases of the endocrine system.

The influences to which our reproductive system is subjected stand apart:

1. Various stresses.
2. Abortion.
3. Damage to the microstructure of the uterus and individual myositis.
4. Reproductive dysfunction.
5. Hereditary factors.

Basic diagnostic methods

1. Inspection data.
2. Ultrasound of the genital organs.
3. Hysteroscopy data.
4. Data obtained during the operation.
5. Special studies.

Often girls are in an interesting position; childbirth occurs on time and occurs without complications; however, the disease does not affect the fetus in any way. IN in the rarest cases childbirth has certain characteristics:

1. Probability early birth(delivery before 36 weeks) in patients with this disease the pressure is slightly higher than in ordinary pregnant girls.
2. If the growth is located near the placenta, this will increase the risk of abruption.
3. Placenta previa is often observed in patients.
4. Incorrect positioning of the fetus is also observed in women with fibroids; this naturally complicates childbirth, since it is impossible to give birth to a child in this position.
5. The presence of several large nodes during childbirth can interfere with the passage of the baby, so most often in such cases the patient undergoes a cesarean section. The baby will not be harmed during such a birth, so don’t worry!

Often the period after childbirth proceeds without any special features. However, sometimes there is bleeding after childbirth and retention of the placenta itself. Don't worry, this condition can be easily corrected by removing of this disease by proper treatment! A significant advantage is that after childbirth, the growths are significantly reduced in size, this has been proven!!!

What is uterine embolization?

It's relative new approach in the treatment of benign tumors, and this method was first used in the last century in the 90s. It's less invasive method, which blocks blood flow to the tumor, stopping its development.

This procedure can now be done in many hospitals and medical centers. As a rule, it is performed by an invasive radiologist - a specially trained doctor.

At the beginning of the procedure you will receive sedative medicine. skin groin area cleaned, introduced local anesthesia and make a small incision. A small flexible hose called a catheter is inserted through the skin into the blood vessel, then the doctor guides the catheter up the artery and places it in the correct position. When the catheter is in in the right place, the doctor introduces a special contrast agent, examine the tumor. Tiny PVA particles are then injected through the catheter. These particles move towards the uterus through the artery, then they block the blood vessels and prevent blood flow to the tumor, then the catheter is simply removed. When the growths do not receive oxygen and nutrients, their removal process occurs. At the end of the procedure, small bandages are applied to the groin area. To date, this method It is considered very popular, and is very often used if a girl decides to give birth.

Only with this procedure will the fetus truly be safe, and you will be able to give birth to it without any consequences.

Uterine disease and pregnancy

The risk group includes:

• women over 35 years old;
• primiparous;
• a long period of infertility or a significant interval between births;
• other diseases of the genital organs or other pathology;
• hereditary factors.

To say how 9 months of an interesting situation will proceed in a given case, doctors conditionally distinguish degrees of danger. Accordingly, there are patients with low and high degrees. To clearly classify women to any degree of danger, there are several criteria by which this can be realistically determined:

1. Position of meomatous growths. How dangerous they will be depends on where they are located. Those nodes that will be located very close to the uterine cavity will bring us great danger. If they are located deep in the muscle layer or go to the side abdominal cavity, they are not so dangerous for expectant mother.
2. The location of the tumor in relation to the axis. The lower the nodes are located, the higher the risk of losing the fetus. The interligamentous position of the nodes is also a high risk. The body and bottom of the vagina are the same areas that can painlessly increase in size and correspond to a low risk.
3. Dimensions of neoplasms. It is absolutely clear that if the swelling is of significant size, the more significant it can create problems.
4. Number of nodes. The number of nodes is a rather relative parameter, but, nevertheless, if we conditionally select up to 5, then we can say that the risk is very high.
5. Deformation of the vaginal cavity. The fact is that while carrying a child changes hormonal background and blood flow. And, unfortunately, blood flow can be disrupted, which has a negative impact on the fetus.
6. The location of the neoplasm in relation to the placenta. If the placenta literally covers the tumor, this is a high degree of danger.

Unfortunately, it must be stated that there is no specific prevention for this disease; doctors do not know what can be done to prevent this disease you never got it. Also, gynecologists do not guarantee that the tumor will not reappear. Therefore, it is very important to visit your gynecologist at least once every six months.

Do not hope that the tumor will resolve, this cannot happen. Of course, you can let everything take its course, but if you want to give birth healthy child, then be sure to take care of yourself, because you can avoid more serious problems, if treatment is carried out on time. After all, giving birth to children is the most amazing gift given to a woman!!

08 February 2018 11635 0

Pregnancy is a very important period in a woman’s life. It is better to prepare in advance for this event and cure all diseases that may interfere normal development pregnancy and childbirth. Many women are interested in the question: is it possible to carry a healthy child and can you give birth with fibroids? Anything is possible, but in this case pregnancy is accompanied by a certain risk. Therefore, it will be safer to treat fibroids in advance.

Please note that this text was prepared without the support of our website.

Using modern methods treatment, fibroids can be removed without surgical intervention. In gynecology it is gaining quite popularity effective method embolization uterine arteries(EMA). This is a minimally invasive procedure that allows you to eliminate all fibroids without injuring the uterus itself. If you have fibroids, the expert council of our website advises you to use and find out all your questions about the treatment method in a particular case. You can also contact a leading specialist.

Types of fibroids

Fibroids are a benign tumor that grows from cells in the muscular layer of the uterus. The presence of fibroids causes a woman a lot of trouble, including problems with pregnancy. In some cases, pathology can only be observed if it does not cause discomfort and is small in size. However, when planning a pregnancy, it is rational to completely cure the disease to exclude possible complications. Only the attending physician can answer questions about whether a woman is able to bear a child or whether it is possible to give birth with uterine fibroids, assessing the situation in each individual case. Practice shows that a woman can give birth to a child with fibroids even without the help of a cesarean section. At the same time, she should be regularly observed by a gynecologist to monitor her condition.

To find out whether it is possible to give birth with fibroids, the doctor evaluates many characteristics of the tumors. It matters where the nodes are located. Based on location, fibroids are divided into the following types:

• Submucosal: neoplasms grow towards the uterine cavity and may have a stalk;
• Intramural: neoplasms grow strictly in the thickness of the uterus;
• Subserous: nodes are located on outer layer, grow towards the abdominal cavity;
• Cervical: nodes grow in the cervical area.

The number of neoplasms and their size also significantly influence the course of pregnancy. Multiple fibroids or nodes big size cause difficulty in conceiving and become a factor in infertility. The presence of several fibroids interferes with the normal development of the fetus, which can be considered a risk factor for miscarriage or miscarriage.

Is it possible to give birth with fibroids?

It is possible to carry a child with fibroids. The presence of fibroids is not a significant contraindication to pregnancy and childbirth. When the time comes to give birth, a woman may be offered two options for delivery:

• Natural childbirth;
• C-section.

A woman with fibroids can give birth on her own. There are many examples from practice of positive outcomes of pregnancy and natural childbirth with fibroids. The main thing is that there are no contraindications for natural childbirth. To exclude complications, a woman should undergo regular examination by a doctor, including ultrasound, hormone tests, etc. Based on the examinations, the doctor will assess the condition of the expectant mother and child, and then offer the safest option for childbirth.

During pregnancy, it is important to control the size of myomatous nodes and their growth rate. As the level of sex hormones increases, changes in the size of fibroids can be observed. They can increase and even decrease. This happens because fibroids are sensitive to female sex hormones, the level of which determines their growth. For example, before in vitro fertilization(IVF) strongly recommend completely treating the pathology. In the presence of neoplasms, the likelihood of positive result after the fertilized egg is transferred to the uterus. IVF is also accompanied by strong hormonal support, which can provoke a sharp increase in nodes.

In some cases, the final choice of birth method occurs in the delivery room. If a woman goes into labor and her condition changes during this time, the obstetrician-gynecologist will make a decision about further delivery based on the current situation.

Is it possible to give birth with subserous uterine fibroids?

The subserous location of the node is the most favorable for the development of the child. The neoplasm is located outside the uterine cavity and grows towards the peritoneum. It does not affect the fetus and does not interfere with its normal development. In this case, you can give birth with fibroids if there are no other complications. With a subserous tumor, you can give birth on your own. You can give birth by caesarean section if there are contraindications to natural childbirth.

Subserous localization may place additional pressure on bladder and squeeze the intestines. These organs are already affected by the growing fetus, and additional compression can only worsen the situation.

Do they give birth with submucosal uterine fibroids?

In a submucosal position, the tumor grows into the uterine cavity. This arrangement is unsafe for the development of the fetus. Submucosal tumor may compress amniotic sac, preventing the child from developing normally. A large tumor deforms the uterine tissue, which also negatively affects the development of the baby.

This type of fibroid often has a stalk, on which the tumor can descend into the neck. In this case, you cannot give birth on your own. Also, the leg can twist, causing the development of necrosis. This may be an indication for interruption or premature birth, depending on the stage of pregnancy.

The submucosal location of the tumor is a risk factor for bleeding during childbirth. Uterine bleeding is very dangerous, it occurs big loss blood in a short period of time, which is unsafe for life. When woman walking When giving birth with submucous fibroids, the obstetrician-gynecologist must be well prepared, thoroughly study the patient’s medical history, and take into account all the characteristics of the woman in labor.

Cervical uterine fibroids: can you give birth or not?

This position of the tumor is also unfavorable. A cervical tumor usually does not interfere with the development of the child, but becomes a problem for childbirth. Of course, it all depends on the size of the education. When answering the question whether it is possible to give birth with fibroids with a cervical location, they usually give preference to a cesarean section. Cervical tumor blocks birth canal and the child will either not be able to get out or will be injured.

Caesarean section for cervical tumor is prescribed in advance. If all goes well, the due date is set at approximately 38 weeks. It is undesirable to allow a woman to give birth on her own. The expected risks significantly exceed the likelihood of a favorable outcome.

Is it possible to perform UAE on nulliparous women?

To exclude a possible unfavorable outcome of pregnancy, fibroids should be completely treated in advance. For nulliparous patients, it is necessary to choose a treatment method that will have the least impact on the reproductive organ. The method of choice for treating pathology is uterine artery embolization. It allows you to eliminate all fibroids in one session. This leaves no scars that could hinder the formation of the child. After embolization of the uterine arteries, you can give birth on your own.

The essence of the method is that tumors are left without nutrition after blocking certain blood vessels. New growths receive nutrition through the uterine arteries, which supply them with blood. When the vessels are blocked, the fibroid is left without nutrition and begins to gradually die. The nutrition of the uterine tissue remains unchanged. The body continues to receive sufficient quantity blood through other vessels: ovarian arteries and large network capillaries.

Not used for UAE general anesthesia, the procedure is performed without incisions on the uterus, and therefore does not require long-term hospitalization. The recovery period takes about 24-48 hours. Then you can return to usual life. During UAE, a small incision is made on the thigh (only 1.5 cm), through which a special substance is injected. The drug contains microscopic polymer balls (emboli), which are absolutely harmless to the body. Emboli penetrate the uterine arteries that feed the fibroids and block them. So the nutrition of the fibroids stops.

After UAE, the tumors begin to “shrink,” eventually becoming clinically insignificant. Large pedunculated nodes can break away from the muscle layer and come out. In this way, you can “give birth” to fibroids after UAE. Myomatous nodes decrease gradually. After 2-3 months their size decreases by 40%, and after a year by 60%. It is recommended to start planning pregnancy one year after the procedure.

To perform UAE, you should contact specialized ones. They have the necessary equipment and a staff of specialists who are proficient in this treatment technique. The procedure is successfully performed by endovascular surgeon B. Yu. Bobrov and obstetrician-gynecologist D. M. Lubnin.

Uterine fibroids (or fibroids, fibroids, leiomyomas) - benign tumor muscular (connective) layer of the uterus (myometrium). It occurs as a result of spontaneous cell division, and the reasons causing this process are not fully understood. However, it has been established for certain that the “blame” for everything is increased production estrogen hormone. It is this hormone that causes the growth of fibroids, while progesterone causes the opposite effect. However, even if there is a normal balance of estrogen and progesterone in the blood, one cannot safely say that the woman does not have fibroids.

Uterine fibroids and childbirth are completely compatible concepts. It is only recommended to undergo an additional ultrasound before childbirth - this will clarify the location and size of the tumor nodes.

How do pregnancy and childbirth affect fibroids?

During pregnancy, certain changes occur in a woman's body:

• hormonal changes, in which the level of estrogen and, to an even greater extent, progesterone increases, and this affects the condition of fibroids;
• mechanical reconstruction of the uterus- its increase and stretching.

To supply the enlarged organ with blood, new vessels grow to the muscles. All these changes can affect already existing fibroids, but the degree of its changes will depend on where and how exactly the tumor is located, and how much it “invades” the uterus.

During pregnancy, uterine fibroids practically do not grow. Its slight growth can be observed in the 1st and 2nd trimesters, but in the 3rd trimester the fibroids become smaller. In general, the growth of fibroids has virtually no effect on the development of pregnancy.

During the postpartum period, fibroids may undergo changes, but they are unpredictable. For example, tumors that caused trouble during pregnancy may not show a single symptom after childbirth. However, as a result reverse development In the first months after childbirth, fibroids often change their location in the uterus.

Delivery with uterine fibroids

Pregnancy that occurs against the background of uterine fibroids can be accompanied by a number of complications, and at the same time, the risk of its interruption remains throughout the entire period. However, if this happens, then a miscarriage occurs due to a malnutrition of the endometrium and early stages. Sometimes the cause of a miscarriage is an inconvenient place of attachment of the embryo (for example, the so-called cervical - in the area of ​​the cervix, which makes it impossible to bear the fetus). With fibroids, the risk of tubal pregnancy increases.

When the tumor is localized in the cervical area, it opens painlessly even before the onset of labor activity, and in the early stages this can provoke a miscarriage, and after 22 weeks there is a threat of premature birth.

In case of large size nodes and endometrial pathology, it persists throughout the entire period. increased tone uterus, which often leads to premature birth. This is explained by the fact that the large size of the tumor prevents the baby from occupying correct position in the uterus, and most often it is located either obliquely or transversely, which is an indication for cesarean section. Moreover, located in muscle layer uterine tumor interferes normal functioning placenta: flow is disrupted nutrients and oxygen to the fetus, hypoxia (oxygen deficiency) develops, which leads to delayed development of the fetus (it lags behind in height and weight). In the future - after birth - this will affect the baby’s health, his physical and mental development.

Another danger that arises against the background of fibroid growth is changes in the endometrium and tight attachment of the placenta. It makes it difficult independent exit placenta after childbirth and provokes profuse bleeding. In this case, the doctor performs a manual examination of the uterus and removes the placenta under general anesthesia.

Can fibroids affect natural childbirth?

Often, in pregnant women with uterine fibroids, labor occurs on time and occurs without any complications, but the expectant mother is hospitalized at 37-39 weeks.

If the condition of the fetus is satisfactory and the fibroids are small in size, they are allowed independent childbirth. In some cases, delivery in the presence of a tumor has some features:

1. Premature rupture of water.

2. There is a possibility of premature birth (before 37 weeks).

3. About half of pregnant women with fibroids have protracted labor and if available large sizes or numerous nodes in the tumor, there is often a need for a caesarean section. This is mainly due to the presentation of the fetus - transverse, pelvic, facial, in which natural childbirth do not seem possible. Moreover, if the incision area during surgery is on a fibroid, the doctor can immediately remove the tumor.

• the pregnant woman had previously undergone surgery to remove fibroids, and scars formed on the uterus;
• previous pregnancy ended in caesarean section;
• myoma necrosis occurs;
• fibroids degenerate into a malignant tumor;
• besides fibroids, there are other complications of pregnancy;
• diagnosed serious condition fetus

5. Another feature that occurs when the tumor is located at the placenta attachment site is its detachment.

Is it possible to remove fibroids during a caesarean section?

Most experts are against removal of fibroids during caesarean section, as this is associated with high risk dangerous bleeding. However, in exceptional cases the tumor can be removed, for example if:

• pedunculated fibroids (subserous);
• the tumor prevents suturing the uterus,
• if the sectional incision is along the fibroid.

Myoma in the postpartum period

The presence of fibroids is often in the early postpartum period due to decreased tone uterus provokes delayed passage of the placenta, caused by its tight attachment or accretion, and postpartum hemorrhage. However, these conditions are successfully treated.

In the late postpartum period, incomplete involution of the uterus (when it cannot return to its original size) and infection of its cavity may occur.

Quite often, after childbirth, fibroids significantly decrease in size.

Myoma is one of the most common diseases in girls and women childbearing age. Benign tumor for a long time may not show itself. It is diagnosed using ultrasound, sometimes together with pregnancy. Often a knot interferes with conception, but there are exceptions to the rule. Pregnancy with such a complication should proceed under careful medical supervision. Each case is individual, so when wondering whether it is possible to give birth with uterine fibroids, it is better to consult with your gynecologist.

Pregnancy and childbirth in women with a myomatous node or several neoplasms are affected by where the tumor is located, what its size is, what type it is, with what intensity it is growing, etc. Whether to keep the baby or have an abortion should be decided together with your doctor, watching everything clinical picture diseases. It is he who can tell the patient about the risks and complications that are possible during childbirth if, in addition to the fetus, fibroids also develop in the uterus.

When to visit a gynecologist nulliparous women, treatment and removal of the seal is always aimed at preserving reproductive function.

Anyone who has given birth with fibroids knows that labor and contractions last longer than usual. This is due to the fact that the neoplasm affects contractile function uterus. Fortunately, this problem is now being solved by introducing stimulant drugs. Which method of birth is preferable for fibroids - natural or C-section? The answer to this question depends on the circumstances and evidence of the examination. It is better when babies are born in the usual way.

But with fibroids, this scenario is only possible if:
the pregnancy proceeded without complications;
the fetus has no pathologies;
the placenta is in the right place.

Also matters general health women in labor In any case, childbirth with uterine fibroids requires special attention on the part of the doctor, careful monitoring even of those women who feel normal. During delivery there is a high risk of uterine bleeding, which can endanger the life of the baby and mother. In such a situation, much will depend on the qualifications and experience of the doctor.

Before birth should be carried out thorough examination patients. If indicated, a planned caesarean section will be performed. The reasons for the operation are fetal presentation or incorrect placement of the placenta, a neoplasm in the lumen of the cervix, or the development of multiple nodes. During the operation, the child will be removed from the uterus; if necessary, the tumor will be excised at the same time.

Fibroids after childbirth - what to watch out for

When discussing the topic of whether it is possible to give birth with uterine fibroids, you should understand that there is no single answer for everyone. In most cases, doctors insist on abortion, hormonal treatment, prompt removal node. And only after this is it recommended to think about conception and childbirth.

If you decide to keep the baby and give birth on your own, you need to understand that fibroids can lead to complications even after childbirth. During pregnancy, the female body is completely rebuilt, which can cause both a decrease in the size of the node and its rapid growth. Trouble threatens those who have been diagnosed with a large tumor or multiple neoplasms.

Complications that may occur after you give birth include:
placenta accreta;
difficulties in the department children's place;
development of infections and inflammatory processes;
profuse bleeding.

Another type of complication after childbirth with fibroids is an increased size of the uterus. Due to the presence of a neoplasm, the organ cannot shrink and return regular form, which leads to stretching abdominal wall. An enlarged belly lasts forever.

Every day the number of women who are interested in whether they can give birth if they have uterine fibroids is growing. The issue has not been fully studied medical level, so it is impossible to give a definite answer. The main thing to remember is that an irresponsible and negligent attitude towards the problem can cause serious health problems, so if alarming symptoms you need to seek medical help.

Doctors' opinions and women's experiences regarding childbirth with fibroids

To better understand the issue and decide for yourself whether it is worth giving birth with uterine fibroids, you need to study the reviews of those who have already gone through this.

Elena, 39 years old

"I am 39 years old. I knew about the 3 cm fibroid, but it was growing slowly, so the doctor prescribed a course of hormones. I became pregnant unexpectedly; my husband and I had not planned it, especially since the family already has two children. After an ultrasound and consultation with a leading gynecologist, I decided to give birth. I drank Duphaston throughout my pregnancy and felt fine, more later There was a feeling of heaviness in the lower abdomen, after which I was hospitalized. I was in the hospital for the entire ninth month. She gave birth herself, no complications developed. A year later I removed the node laparoscopic method. My conclusion is that childbirth with fibroids is not scary. The main thing is to have a competent and experienced doctor nearby.”

Anna, 27 years old

“I was diagnosed with a small fibroid of 15 mm during the first routine ultrasound during pregnancy. The doctor recommended terminating the pregnancy, removing the node and conceiving again. I refused, because I am already 27, and this is my first birth. I saw the doctor more often than usual and had tests done. The gynecologist monitored the situation based on the results of the ultrasound. Labor began earlier, at 37 weeks. A caesarean section was performed with epidural anesthesia. Everything went well. But six months after giving birth, 3 more nodules formed in the uterus. Then there was a long course of hormone therapy and surgery to remove the nodes. The gynecologist explained that it is impossible to waste time in such a situation. Otherwise, you could lose your uterus altogether.”

It would not be amiss to get acquainted with the opinion of gynecologists who every day face the problem of pregnancy and childbirth in women with uterine fibroids:

“Fibroids are a benign neoplasm, but they can cause great harm. female body. Therefore, getting pregnant and giving birth with this diagnosis is not recommended. Each case is personal, so women often insist on preserving the fetus. The doctor will agree to this only if there are sufficient indications and a favorable prognosis for childbirth. Problems and complications can only be avoided if you regularly visit a doctor and monitor the development of the tumor. In order not to provoke complications, it is better to carry out delivery by caesarean section.”

But if, nevertheless, she managed to get pregnant, she has new fears and worries. Is it possible to give birth with uterine fibroids? And what risks can await a pregnant woman with such a diagnosis? Let's look at the most important nuances.

Is it possible to give birth with fibroids without risks?

To become pregnant and carry a child to term when diagnosed with uterine fibroids, despite possible dangers, Can. This disease is not a reason for abortion, and a competent gynecologist will never offer such an option.

If a patient manages to become pregnant with a myomatous node in the uterine cavity, she should be under closer medical supervision. When the time comes to give birth, the woman will be given the right to choose how it will happen - naturally or by caesarean section.

The choice of delivery method depends on the course of pregnancy and the size of the pathological node in the uterine cavity. But a woman must remember: it is possible to give birth with uterine fibroids, and medical practice there is a lot of evidence of this.

Is it possible to give birth with subserous fibroids?

Subserous myomatous node is considered the most harmless if we're talking about about the possibility of getting pregnant, but is it possible to give birth with this type of uterine fibroids? If the patient does not have any associated complications fibroids growing into the peritoneal cavity, then worry about possible consequences for the child or the woman herself it should not be.

Despite the fact that even the subserous location of the pathological node is not completely safe for the health of a pregnant woman, it is considered the most favorable type of uterine fibroids from the point of view of pregnancy and childbirth.

In this case, the woman may well give birth herself. And only if there are compelling reasons, a caesarean section can be performed.

Is it possible to give birth with submucous fibroids?

It is quite difficult to get pregnant and give birth with a submucosal location of the pathological node, since in this situation the tumor-like neoplasm grows directly into the uterine cavity. It leads to serious violations at work reproductive system women.

Even if the patient managed to become pregnant, under such circumstances there is Great chance problems with intrauterine development child. Submucosal fibroid the uterus can compress the amniotic sac, and given the fact that it often has a stalk, it may well descend into the cervix. A large tumor, moreover, often compresses the uterine tissue, which can also have an extremely negative impact on the development of the fetus.

So, is it possible to give birth independently with submucosal uterine fibroids? It all depends on the size of the tumor and the possibility of complications of the disease. If the myomatous node threatens to descend into the cervix reproductive organ, alas, natural childbirth in this situation is excluded.

In the later stages, when the neoplasm is located submucosally, premature labor is stimulated. At high probability complications for women in the early stages of pregnancy, the doctor may even suggest artificial abortion using the maximum safe techniques(including medical abortion).

In the latter case, after removal of the fibroids, the patient will be able to become pregnant again. But it is worth remembering that this radical measure, which gynecologists go to in critical situations.

Is it possible to give birth with cervical uterine fibroids?

Is it possible to give birth with uterine fibroids if it is localized on the mucous membrane of the cervix of the reproductive organ? Unfortunately, this location of the pathological node is the most unfavorable from the point of view of labor. For the pregnancy itself, it does not pose any threat.

Although, of course, the fact of how large the benign tumor is is also important. But in such circumstances, a caesarean section is preferred.

Firstly, the myomatous node can simply block the birth canal, and the child will not be able to leave the cavity of the reproductive organ. Secondly, if, purely hypothetically, it is possible to give birth with this type of myomatosis, there is a high probability of injury to the fetus during birth process. Therefore, in order not to risk the baby’s health, it is still better for a pregnant woman to agree to a CS.

How does fibroid affect the birth process?

Often, pregnancy in women with myomatosis proceeds without any complications, since the patients are under close supervision of a gynecologist. If a woman has no health complaints, she may well give birth on her own.

But sometimes uterine fibroids make some adjustments to the upcoming process of delivery. Thus, a benign neoplasm can lead to:

• premature passage of OPV;
• early onset of labor (up to 37 weeks);
• protracted labor;
• placental abruption, if the fibroid is located in close proximity to it.

And although such complications are not common, it is better to give birth after removal of fibroids. Then it will be possible to talk about complete safety of both the mother and her child.

Is it possible to give birth after removal of uterine fibroids?

As noted earlier, it is preferable to plan pregnancy and give birth after removal of the myomatous node. And not earlier than in a year. But, in fairness, it should be said that everything depends on exactly how the pathological neoplasm was excised.

Instrumental treatment methods

The most the best option For young women wanting to become pregnant after fibroid removal, uterine artery embolization, or UA, is a treatment option. The procedure does not involve open surgery, and the recovery period after it is much shorter.

If the fibroid is small, it is removed using FUS ablation. In this case, a woman can safely give birth without fear of complications.

The patient should talk to her gynecologist about when to plan a pregnancy after fibroid removal using this method. No doctor can give a definite answer - every woman’s body is individual.

Surgical intervention

Give birth on your own after surgical removal myomatous node is possible only after complete healing of the uterine scar. And even then it is not always considered safe.

This process of labor requires a high degree of responsibility from the doctor, so often gynecologists do not dare to take risks and perform a caesarean section.

Myoma after childbirth

Sometimes a myomatous node after the end of labor can cause difficulties with the passage of the placenta, or intense bleeding. If the patient had a caesarean section, doctors have to urgently remove the tumor and take necessary measures to prevent dangerous consequences.

Moreover, late postpartum period may be accompanied by incomplete involution of the uterus, or the addition of a secondary infection. To avoid this, you should not rush into planning a pregnancy until the disease is cured. If a woman with fibroids learned about her “interesting” situation after the fact, she must strictly follow all the gynecologist’s instructions in order to maintain the health of herself and her child.